Which individual in the emergency department should be considered at highest risk for completing suicide?
A 38-year-old single, African American female church member with fibrocystic breast disease.
An adolescent Asian American girl with superior athletic and academic skills who has asthma.
A 79-year-old single, white male diagnosed recently with terminal cancer of the prostate.
A 60-year-old married Hispanic man with 12 grandchildren who has type 2 diabetes.
The Correct Answer is C
A. African American females, especially with strong religious affiliation and social ties, have a lower risk of suicide compared to other demographics.
B. Adolescents may have suicidal ideation under stress, but the protective factors (academic and athletic success, no indication of psychiatric illness) lower the risk.
C. Older white males are at the highest statistical risk for suicide, especially when compounded by chronic illness, terminal diagnosis, social isolation (single), and depression.
D. Despite chronic illness (type 2 diabetes), protective factors such as being married and having many grandchildren reduce suicide risk.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While anesthesia is used, the side effects from it are not the main concern with ECT.
B. The most common side effects are mild confusion, headache, and short-term memory loss, which are typically temporary.
C. Muscle relaxants are given before the procedure to prevent cramping or injury from the seizure.
D. Myocardial infarction is not a common side effect; this response could unnecessarily alarm the spouse.
Correct Answer is B
Explanation
A. Seclusion is a last-resort intervention, not an initial step.
B. Staff meetings to ensure consistent approaches, structure, and limit-setting prevent staff fatigue, reduce defensiveness, and provide therapeutic consistency for the client.
C. Confronting the patient directly about unacceptable behavior may escalate agitation and is not the most effective prevention strategy.
D. Group discussions with patients about one individual’s behavior would be inappropriate and non-therapeutic.
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